P05-02 Implementing exercise based injury prevention programs -lessons learned

Abstract Background In youth, physical activity is for a large part accumulated through participating in sports clubs and gymnastic classes. One of the reasons youth drop-out from sports and physical education participation are the injuries they sustain while being active. And, although we know that exercise based injury prevention programs can reduce the physical activity related injury risk, it has proven to be difficult to convince coaches, trainers and physical education teachers to implement these preventive exercises in their training/teaching routines. This presentation will focus on the lessons learned regarding the experiences and views of coaches, trainers and physical education teachers that participated in our injury prevention trials. Methods Over the past decade, we have evaluated the effectiveness of several physical activity based injury prevention programs that were used in both the sports as well as the school setting. Alongside these effectiveness trails, process evaluations have been conducted to assess if the interventions were delivered and received as intended and what their views were regarding implementation of the exercises in their daily routine. Results A comparison will be made between views of coaches, trainers and physical education teachers that participated in our several trials. Conclusions Combining the views of coaches, trainers and physical education teachers regarding future implementation of injury prevention programs will help guide the implementation of the exercised based preventive routines that will be developed for the EU funded Move Healthy project.


Background
In youth, physical activity is for a large part accumulated through participating in sports clubs and gymnastic classes. One of the reasons youth drop-out from sports and physical education participation are the injuries they sustain while being active. And, although we know that exercise based injury prevention programs can reduce the physical activity related injury risk, it has proven to be difficult to convince coaches, trainers and physical education teachers to implement these preventive exercises in their training/teaching routines. This presentation will focus on the lessons learned regarding the experiences and views of coaches, trainers and physical education teachers that participated in our injury prevention trials.

Methods
Over the past decade, we have evaluated the effectiveness of several physical activity based injury prevention programs that were used in both the sports as well as the school setting. Alongside these effectiveness trails, process evaluations have been conducted to assess if the interventions were delivered and received as intended and what their views were regarding implementation of the exercises in their daily routine. Results A comparison will be made between views of coaches, trainers and physical education teachers that participated in our several trials.

Conclusions
Combining the views of coaches, trainers and physical education teachers regarding future implementation of injury prevention programs will help guide the implementation of the exercised based preventive routines that will be developed for the EU funded Move Healthy project. Keywords: Injury prevention, physical activity promotion Abstract citation ID: ckac095.070 P05-03 The role of physical training in the correction of cognitive impairment in patients with type 2 diabetes

Background
The purpose of the study was to evaluate the role of physical exercises in improving cognitive functions in type 2 diabetes mellitus.

Methods
The study protocol was approved by an ethics committee and all patients signed an informed consent. We examined 204 patients with type 2 diabetes aged 61.7 AE 11.2 years (persons hospitalized in the endocrinology department of the clinics of the Siberian State Medical University, Tomsk). Blind double method patients were randomized into 2 groups: the main one was engaged in physical therapy and the control group (observation). The study was carried out in two stages: at the first visit, a clinical and psychological examination was which included the Montreal Cognitive Function Scale and the Diabetes-dependent Quality of Life repeated clinical and psychological examinawas carried out after rehabilitation after 6 months At the first stage the study revealed the presence of cognitive impairment in type 2 diabetes, mainly in tasks on visualconstructive skills, memory, attention and speech. These disorders were reduced after physical therapy (second stage) by 2.6 points (t = 0.01, p = 0.00006): visual-constructive skills (t = 0.0, p = 0.008), speech (t = 0.0, p = 0.005), abstraction (t = 0.0, p = 0.002) and memory (t = 0.0, p = 0.0007), no change in cognitive function occurred in the observation group. In terms of carbohydrate metabolism: the level of HbA1c decreased by 0.9%, fasting glycemia -by 1.6 mmol/L in main group, but increased by 0,1% of HbA1c and by 0,2 mmol/L of glycemia in the observation group (second stage) (t = 2.0, p = 0.000003; t = 3.0, p = 0.0008). Patients involved in physical therapy showed improvement in a larger number of parameters -leisure, travel, vacation, personal life, appearance, self-confidence, future confidence, financial situation, dependence, food choice, choice of drinks, total point (p > 0.05), when there was a decrease in points in the parameters of the control group.

Conclusion
During rehabilitation in patients with type 2 diabetes, there is an improvement in cognitive functions, carbohydrate meta-Abstract citation ID: ckac095.071 P05-04 Physical activity level and sedentary time prior to cardiac ward admission among patients with cardiovascular disease and its association to all-cause mortality Background Low physical activity (PA) level and high sedentary time (SED) have been associated to cardiovascular (CVD) morbidity and mortality. Routinely assessing the PA-level of patients being admitted to hospital has been proposed. The aim was to explore PA-level and SED among patients prior to cardiac ward admission and whether this can predict all-cause mortality. Methods A longitudinal observational study of patients with ischemic heart disease, heart failure, cardiac arrhythmia, valvular heart disorder and inflammatory heart diseases treated on cardiac wards (2015)(2016) in Stockholm, Sweden. Data on PA-levels and SED prior to admission were collected by validated questionnaires during inpatient care. PA level a regular week was calculated by an index (3-19 points) including everyday PA and exercise. The cut-off of insufficiently physically active was set to > 9 points. Individuals' reporting !7 hours of sitting a normal day were categorised as high SED. Differences in PAlevel and SED between different diagnose groups were ii88 European Journal of Public Health, Volume 32 Supplement 2, 2022